1. Transportation Safety Planning Project Survey/Application

The National Indian Justice Center (NIJC) in conjunction with the La Jolla Band of Luiseño Indians is administering a Bureau of Indian Affairs (BIA)-funded project to assist California tribes with transportation safety planning.  The purpose of this survey is to gather information about tribal transportation planning needs and identify those tribes that would like to receive information about or participate in this transportation safety planning project.  Based on the results of the survey, NIJC will tailor workshops, training sessions, and services to assist tribes with transportation planning needs.

For those tribes interested in and ready to begin or update a transportation safety plan, this survey can also serve as an application to participate in the Tribal Transportation Safety Planning project. Tribes that participate in the project will receive training and technical assistance to develop or update their transportation safety plan. Tribes will be selected for participation based on need, level of commitment, and readiness to proceed with transportation safety planning.     

* 1. Name of Tribe:

* 2. Bureau of Indian Affairs Region:
Check One.

* 3. Tribe’s website address:

* 4. Your Name:

* 5. Your Title or Position:

* 6. Your Phone Number:

* 7. Your Email address:

* 8. Mailing Address
(Street Number and Name or P.O. Box Number)

* 9. Mailing Address
(City, State, and Zip Code):

* 10. Has the Tribe completed any of the following long-range transportation or transportation-related plans?
(Select all answers that apply.)

* 11. Which, if any, is the Tribe actively engaged in developing or updating?
(Select all answers that apply.)

* 12. With regard to transportation safety planning, which of the following would be helpful for the Tribe:
(Please check the most applicable answer for each item listed.)

  Very helpful Helpful Somewhat helpful N/A (not applicable)
Information about the purpose of a transportation safety plan.
Information about how to apply for a Federal Highway Administration (FHWA) Transportation Safety Planning Grant.
A new or updated Transportation Safety Planning Needs Assessment.
Training on how to prepare or assist in the preparation of a transportation safety plan.
Online access to roadway crash data for our Tribe.
Examples of safety plans completed by other Tribes.
A list of consultants who have experience in preparing Tribal transportation safety plans.
Training on how to prepare or circulate a Request For Proposals (RFP) to hire a consultant to prepare a transportation safety plan.
Technical assistance with writing a transportation safety planning document.
Technical assistance with reviewing or editing a draft Tribal transportation planning document.

* 13. Would you like this survey to also serve as an application to receive services as part of the California Tribal Transportation Safety Planning Project? If you request to be included in the California Tribal Transportation Safety Planning Project, NIJC will contact you regarding upcoming training and workshops designed to assist in the preparation of Tribal Transportation Safety Plans or Long Range Transportation Plans. (Select one answer.)

* 14. Does Tribe have a Transportation Safety Plan? (Select one answer.)

T